For diarrhea management, psyllium is again the first choice
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doi: 10.3389/fmed.2026.1763185 Received 08 December 2025 Revised 20 January 2026 Accepted 26 January 2026 Published 12 February 2026 Volume 13 - 2026 Edited by Jianbin Zhang, Dalian Medical University, China Reviewed by Theodoros Androutsakos, National and Kapodistrian University of Athens, Greece Feng Zhang, Nanjing University of Chinese Medicine, China Updates Copyright 2026 Lu and Yang
For approved drugs in the same class (semaglutide, tirzepatide), the general guidance is to take the missed dose as soon as possible if within a few days, then resume the regular weekly schedule
As noted by Hausners team: "No clinically significant pharmacokinetic or pharmacodynamic interactions were identified This suggests that no dose adjustments should be required when semaglutide is administered concomitantly with these medications." Other findings support this consistency
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